Knights of Columbus - Veteran Flags Form

MEMORIAL DAY WEEKEND OF REMEMBRANCE
Your Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Please adjust the quantity of the flags you are ordering as needed below.
Veteran Flags
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A Weekend of RemembranceFor a donation of $45.00 per Flag, the Flag will be personalized with name, branch of service, rank, and a message.
$45.00 Quantity

Total

$0.00
Note if you are getting more than one flag:

Click the "+" sign to the right of each field below to add information for each additional flag (ie. "Name of veteran honoree" and so on for each field for each additional flag)
Name of veteran honoree
Branch of Service
Rank
Personalized message
When you click the "Submit" button below, you will be redirected to the payment page.

On the payment page:
1. Donations for flags are $45 each
  If you are ordering 1 flag, the total will be $45
  If you are ordering 2 flags, the total will be $90, and so on
  
  Enter the appropriate dollar amount for the donation of the flags you are ordering as indicated above under Veteran Flags "Total".
  
  Proceeds will benefit the Bishop O'Reilly Assembly and its patriotic activities.
2. Payment Section:
  Enter your credit card or debit card information
3. Contact Section:
  Fill in your information in the appropriate fields.
4. Upon filling out the required fields the "Pay" button will appear in a bolder blue color with the appropriate dollar amount (ie. for 1 Flag it will say "Pay $45.00") Click the blue button to complete your payment.
Thank you in advance for your support!
Should be Empty:

MEMORIAL DAY WEEKEND OF REMEMBRANCE